Increased prevalence of atrial fibrillation after the Great East Japan Earthquake: Results from the Fukushima Health Management Survey
Increased prevalence of atrial fibrillation after the Great East Japan Earthquake: Results from the Fukushima Health Management Survey
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DOI：
10.1016/j.ijcard.2015.06.151
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发表时间：
2015-11-01
影响因子：
3.5
通讯作者：
Abe, Masafumi
中科院分区：
文献类型：
--
作者：
Suzuki, Hitoshi;Ohira, Tetsuya;Abe, Masafumi
背景：以往的研究表明，自然灾害后居民心血管危险因素的控制恶化。本研究评估了日本东部大地震后福岛县疏散区居民心房颤动（AF）患病率增加的假设。方法和结果：这项纵向研究调查了年龄在40-90岁之间的受试者，使用了从26163名参与者（11628名男性和14535名女性）收集的数据，这些数据来自2008年至2010年间在12个社区（包括政府指定的疏散区）进行的一般健康检查。本研究于2011年6月至2013年3月底进行12导联心电图示踪并随访检查。共有12410名参与者（男性5704人，女性6706人，随访比例47%）在地震后接受了随访检查，平均随访时间为1.4年。地震后房颤患病率增加（地震前：1.9% vs.地震后：2.4%,P < 0.001）。在随访期间，参与者中发生了79例房颤。过量的乙醇摄入（>= 44 g/天）和肥胖与地震后AF风险增加有关，多变量校正风险比（95%置信区间）分别为3.07（1.55-6.08）和1.87（1.19-2.94）。结论：日本东部大地震后，福岛县疏散区的居民房颤患病率增加，过量饮酒和肥胖与房颤风险增加有关。(C) 2015 Elsevier Ireland Ltd.。版权所有。
Background: Previous studies have shown that control of cardiovascular risk factors deteriorates among residents after a natural disaster. This study assessed the hypothesis that the prevalence of atrial fibrillation (AF) increased among residents in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake.Methods and results: This longitudinal study examined subjects aged 40-90 years using data collected from 26,163 participants (11,628 men and 14,535 women) sourced from general health checkups conducted in twelve communities, including the evacuation zone specified by the government, between 2008 and 2010. The study obtained 12-lead ECG tracings and conducted follow-up examinations from June 2011 to the end of March 2013. A total of 12,410 participants (5704 men and 6706 women, follow-up proportion: 47%) received follow-up examinations after the earthquake, with an average follow-up of 1.4 years. The prevalence of AF increased among participants after the earthquake (before: 1.9% vs. after: 2.4%, P < .001). During the follow-up period, 79 incidences of AF occurred among participants. Excess ethanol intake (>= 44 g/day) and obesity showed associations with an increased risk of AF after the earthquake, with multivariable-adjusted hazard ratios (95% confidence interval) of 3.07 (1.55-6.08) and 1.87 (1.19-2.94), respectively.Conclusions: The prevalence of AF increased among residents in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake, with excess alcohol intake and obesity associated with an increased risk of AF. (C) 2015 Elsevier Ireland Ltd. All rights reserved.